Background: urinary incontinence (UI) is a common symptom among older people, with a higher prevalence among frail older persons living in nursing homes. Despite consequences such as reduced health and quality of life, many older people do not seek help for their symptoms, resulting in missed opportunity for treatment. Objective: the aim of this study was to investigate the evidence and the effect of conservative treatment of UI and the quality of life among older and frail older persons. Methods: a systematic review of randomised controlled studies and prospective, non-randomised studies was conducted, evaluating interventions of conservative treatment of UI in an older population (65 years or older). A total of 23 studies fulfilled the inclusion criteria and 9 were of high or moderate quality. Fourteen studies were of low quality and were therefore excluded from the analysis. Results: documented and effective conservative treatments are available even for older persons with UI. Pelvic muscle exercise, physical training in combination with ADL, prompted voiding and attention training, and help to toilet are important treatments. In some studies, however, the evidence of effectiveness is limited. Conclusions: this systematic review concludes that there are conservative treatments for UI for older and frail older persons that reduce leakage and increase quality of life. There is however a need for further high-quality studies.

Health and social care planning in collaboration in
older persons’ homes: the perspectives of older
persons, family members and professionals
Providing health and social care to older persons is challenging,
since older persons often have multiple diseases
and a complex health situation. Hence many professions
and organisations are involved. Lack of interprofessional
and interorganisational collaboration leads to fragmented
care. Care planning meetings before hospital discharge
have long been used to overcome this fragmentation, but
meetings conducted at the hospital have limitations in
identifying long-term needs at home. A new model for
health and social care planning in collaboration (HSCPC)
in older persons’ homes was introduced in two Swedish
municipalities. The aim of this study was to gain a deeper
understanding of the HSCPC-meeting from the perspectives
of older persons, family members, and professionals.
Ten care planning meetings from two municipalities were
consecutively included. Interviews in retrospect with ten
older persons, eight family members, and ten groups of
professionals who had attended the HSCPC-meeting at
home were analysed with a hermeneutic approach. Four
themes emerged: unspoken agendas and unpreparedness,
security and enhanced understanding, asymmetric relationships,
and ambiguity about the mission and need for
follow-up. The comprehensive interpretation is that the
professionals handled the HSCPC-meeting mainly as a
routine task, while the older persons and family members
viewed it as part of their life course. Older persons are in
an inferior institutional, cognitive and existential position.
However, meeting together in the home partly
reduced their inferior position. Findings from this study
provide some general suggestions for how HSCPC-meetings
should be designed and developed: attention of
power relations, the importance of meeting skills and follow-
up.

PURPOSE: To assess, at a 10-year interval, changes in attitudes toward desire for implant treatment among middle-aged and older Swedish subjects with respect to dental status. MATERIALS AND METHODS: Three thousand subjects, residents of Orebro County, Sweden, were surveyed via the same questionnaire in 1989 and again in 1999 regarding their possible need for and interest in implant-based prosthodontic treatment. RESULTS: One thousand six hundred sixty-five subjects responded to both surveys. In 1989 few respondents indicated an interest in implant treatment, whereas in 1999, 92% of those who had not indicated an interest in the earlier survey now indicated that they desired implant treatment. The cohort reporting having no teeth had a considerable lower increase in desire. Among those who reported a possible treatment need (ie, missing 1 or more teeth and had not had them replaced or those who wore complete dentures), cost was the most commonly cited reason for declining implant treatment. CONCLUSIONS: There was a dramatic increase in the interest for implant treatment over the period from 1989 to 1999. Changes in awareness of implant treatment, along with an expansion in the number of qualified providers, may have contributed to this increase.

Nordström, J, Waldesten, S. Youthful norms of beauty is prevailing in the society. A study about older women and how they affected of society ideal beauty. Degree project in social work 15 poäng. Malmö University. Health and Society 2011.
ABSTRACT
Purpose in this paper is to explore and deepen the understanding of older womens relations to bodily appearance. Problem: A bias that we both felt that we encountered was that of old do not care how they look. Why would you stop caring about their body just because you grow old? Media often show an image of the elderly as weak and vulnerable group. On the news, it is often older people who have been exposed to something. We are interested in how older women are affected by society's beauty ideals. It is a topical subject, the media constantly publishes articles and ads about how to achieve their body image through various methods. Headlines can be seen in the newspapers is "eat yourself thin", "stay young longer" and "train yourself to the perfect body". Method: Qualitive, semi-structured interviews with seven womens were conducted. They are 65-91 years old. Result: The result of this study shows that older women know the body ideals. they are very aware of how they should dress so as not to violate any standards. they care for their body and are active with their appearance.